Z-1816-2020Class II

Surveyor S12/S19 and patient cable for the S12/S19 Bedside Monitor under the following device names: PAT CBL...

Name: Z-1816-2020 Surveyor S12/S19 and patient cable for the S12/S19 Bedside Monitor under the following device names: PAT CBL...
Creator: Welch Allyn, Inc/mortara
Published: 2020-03-18
License: https://open.fda.gov/license/

Mortara Instrument, Inc. / initiated 2020-03-18 / Terminated / root cause: design

FDA source

WELCH ALLYN, INC/MORTARA began a recall of Surveyor S12/S19 and patient cable for the S12/S19 Bedside Monitor under the following device names: PAT CBL 10WIRE AHA SNAP JSCREW, PAT CBL 10WIRE IEC SNAP... on 2020-03-18. FDA classified it as Class II and gives the reason as "Impacted Welch Allyn products may not meet the Defibrillation Withstand requirements of EN/IEC 60601-2-25 Medical Electrical Equipment". As of 2026-09-10, the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number: Z-1816-2020
Classification: Class II
Status: Terminated
Initiated: 2020-03-18
Posted: 2020-04-29
Terminated: 2026-02-09
Recalling firm: Mortara Instrument, Inc.
Product: Surveyor S12/S19 and patient cable for the S12/S19 Bedside Monitor under the following device names: PAT CBL 10WIRE AHA SNAP JSCREW, PAT CBL 10WIRE IEC SNAP JSCREW. The Surveyor S12 patient monitor is designed for continuous monitoring in either stationary or portable applications.
Product code: DPS Electrocardiograph
Reason for recall: Impacted Welch Allyn products may not meet the Defibrillation Withstand requirements of EN/IEC 60601-2-25 Medical Electrical Equipment.
Root cause tag: design
FDA root cause: Device Design
Action: Welch Allyn notified customers on 2/19/2020 via "Voluntary Medical Device Correction Welch Allyn Patient Cables or Lead Sets". The recall letter identified the affected product and stated the reason for the recall. The firm also requested the distributors to immediately notify accounts if the product was further distributed.
Quantity in commerce: 78,521 units total
Distribution: US nationwide distribution in the states of AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, ON, OR, PA, PR, RI, SC, SD, TN,UT, VA, VT, WA, WI, WV and WY.
Product codes and lots: Model Numbers: SUR12-XXX-XXXXX, SUR19-XXX-XXXXX, 9293-033-52, 9293-033-53.

Enforcement reports

One row per recalled product line

FDA enforcement reports joined to recall event Z-1816-2020
Recall number	Class	Status	Voluntary or mandated	Report date	Classified
Z-1810-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29
Z-1811-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29
Z-1812-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29
Z-1813-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29
Z-1814-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29
Z-1815-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29
Z-1816-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29
Z-1817-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29
Z-1818-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29
Z-1819-2020	Class II	Terminated	Voluntary: Firm initiated	2020-05-06	2020-04-29

Product code DPS

K173765Class IISurveyor Patient MonitorMortara Instrument, Inc. / cleared 2018-09-04

MDM coverage of this record lists here, newest first.

About this record

Sourced from the FDA device recall database and the FDA enforcement reports, both ingested from openFDA. The recall record supplies the product, the reason and the product code; the enforcement report supplies the classification. The two datasets are exported by FDA on different days, and the date above is the older of the two, so nothing on this page is newer than it says.

MDM adds the root cause tag, derived from FDA’s own root cause text, and the cross-links to the product code, the clearances named on the record and MDM coverage. Where a recall has not been joined to an enforcement report, no classification is shown.

Data as of 2026-09-30, the FDA export date for this dataset. Page last changed 2026-09-05. View this recall on fda.gov (opens on fda.gov)